Perception of risk among children: Exploring the risk of TB-rickettsial disease based on the children's drawing pictures in a Mayan community of Yucatan.
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Karla Dzul-Rosado, Teresita Castillo-León, Elisia Montalvo-Nah, Juan Arias-León, Fernando Puerto-Manzano
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引用次数: 0
Abstract
Background: It is important to work on designs of health promotion strategies that involve educational interventions about the risk factors associated to TB-rickettsiosis (Tick-Borne rickettsiosis). Children's drawings provide a window into their thoughts and feelings. The aim was to analyze children's risk perceptions regarding by the presence of ticks in a rural community in southeast Mexico.
Methods: The main framework used was a social cognitive perspective under the Health Belief Model. Study was carried out in rural elementary schools and included a drawing contest. A total of 224 children (8-12 years old) participated. Drawings were coded and classified; descriptive trend analysis was performed using counts and percentages. The qualitative data was analyzed by researcher experts in TB- rickettsiosis and using Atlas ti V.8.
Results: Results are presented in seven categories that consider environmental elements, actors, and cognitive aspects. The environmental context, 99.1% of the drawings represent sites outside the home (92% include vegetation with the presence of ticks in their immediate external environment). In the actors' category, 69.6% included people carrying out activities (prevention and risk). As for the cognitive aspects, 70% included domestic pets and 13.4% farmyards animals.
Conclusion: The children expressed their ideas about risk factors and preventive measures against TB-rickettsiosis with a self-care approach. They acquired knowledge about preventive strategies and clinical symptoms. It is necessary to evaluate what happens after an intervention and how they implement in their lives what they have learned.
背景:重要的是设计健康促进策略,包括对结核病-立克次体病(蜱传立克次体病)相关危险因素的教育干预。孩子们的绘画为他们的思想和感情提供了一个窗口。目的是分析儿童对墨西哥东南部农村社区蜱虫存在的风险认知。方法:采用健康信念模型下的社会认知视角作为主要框架。研究是在农村小学进行的,其中包括一个绘画比赛。共有224名儿童(8-12岁)参与。图纸进行编码和分类;使用计数和百分比进行描述性趋势分析。定性数据由TB-立克次体研究专家使用Atlas ti V.8进行分析。结果:结果分为七个类别,考虑环境因素,参与者和认知方面。环境背景,99.1%的图纸代表了家庭以外的地点(92%包括在其直接外部环境中存在蜱虫的植被)。在行为者类别中,69.6%包括开展活动(预防和风险)的人。在认知方面,70%的人包括家养宠物,13.4%的人包括农场动物。结论:儿童对结核立克次体病的危险因素及预防措施表达了自己的看法。他们获得了有关预防策略和临床症状的知识。有必要评估干预后会发生什么,以及他们如何在生活中实施他们所学到的东西。